Prevention of the complications of totally extraperitoneal inguinal hernia repair: a report of 460 cases

doi:10.3877/cma.j.issn.1674-0793.2017.05.009

Abstract

Abstract:

Objective

To summarize the reasons and preventions of postoperative complications of totally extraperitoneal inguinal hernia repair (TEP).

Methods

A total of four hundred and sixty patients with inguinal hernia underwent laparoscopic TEP from January 2010 to December 2015 in the Affiliated Zhongshan Hospital. Their clinic data and postoperative complications were collected and analyzed retrospectively.

Results

Recurrence happened in 5 of the 460 cases(1.09%). There were 6 chronic intractable pains in inguinal region (1.30%), 22 (4.78%) of peritoneum rupture, 62 (13.48%) of seroma. Patients with scrotal hernia and intraoperative blood loss greater than 5 ml had higher incidence of seroma, the differences were statistically significant (χ²=31.954, 4.084, P=0.000, 0.043).

Conclusions

TEP is agood method for repairing inguinal hernia. If we can expand the extraperitoneal space correctly, identify anatomic landmark correctly, stop bleeding carefully, and fix the mesh properly, the complications of TEP will be effectively reduced.

Key words: Laparoscopes, Inguinal hernia repair, Postoperative complication, Pain, intractable

Shihai Zhou, Zhigang Guo, Hong Chen, Huizhou Deng, Hongzhi Luo, Chunzai Feng, Qingyan Deng, Yuanlong Yu. Prevention of the complications of totally extraperitoneal inguinal hernia repair: a report of 460 cases[J]. Chinese Archives of General Surgery(Electronic Edition), 2017, 11(05): 332-335.

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项目		血清肿发生率（%）	χ²值	P值
单侧直疝		13.25（11/83）	0.012	0.912
单侧斜疝		12.80（43/336）
单侧疝		12.89（54/419）	1.405	0.236
双侧疝		19.51（8/41）
疝环直径（cm）			2.980	0.084
	<1.5	12.01（43/358）
	≥1.5	18.63（19/102）
阴囊疝			31.954	0.000
	否	7.67（25/326）
	是	27.41（37/135）
出血量（ml）			4.084	0.043
	<5	10.68（41/384）
	≥5	27.63（21/76）

项目		血清肿发生率（%）	χ²值	P值
单侧直疝		13.25（11/83）	0.012	0.912
单侧斜疝		12.80（43/336）
单侧疝		12.89（54/419）	1.405	0.236
双侧疝		19.51（8/41）
疝环直径（cm）			2.980	0.084
	<1.5	12.01（43/358）
	≥1.5	18.63（19/102）
阴囊疝			31.954	0.000
	否	7.67（25/326）
	是	27.41（37/135）
出血量（ml）			4.084	0.043
	<5	10.68（41/384）
	≥5	27.63（21/76）

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